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目的探讨经纤支镜支气管肺泡灌洗并注药治疗难治性肺炎的疗效及临床分析。方法 2010年6月至2012年6月期间,我院诊治的60例难治性肺炎患者,随机将其分为对照组(常规治疗)和观察组(常规治疗基础上,通过纤支镜肺泡灌洗并注药治疗),每组各30例,对两组的临床疗效,进行观察和比较。结果 30例对照组患者中,8例显效、9例好转、13例无效;30例观察组患者中,17例显效、9例好转、4例无效。与对照组相比(56.7%),观察组的有效率明显升高(86.7%),P<0.05。在纤支镜灌洗治疗过程中,没有出现严重的并发症。结论对于难治性肺炎患者,经纤支镜支气管肺泡灌洗并注药治疗疗效显著、安全可靠,值得临床推广。
Objective To investigate the curative effect and clinical analysis of bronchial alveolar lavage with bronchofibroscopy and refractory pneumonia. Methods From June 2010 to June 2012, 60 patients with refractory pneumonia who were diagnosed and treated in our hospital were randomly divided into control group (conventional treatment) and observation group (on the basis of routine treatment, bronchoscopic alveolar perfusion Wash and injection drug treatment), 30 cases in each group, the clinical efficacy of the two groups were observed and compared. Results Among the 30 patients in the control group, 8 were markedly effective, 9 improved, and 13 were ineffective. Of the 30 patients in the observation group, 17 were markedly effective, 9 were better, and 4 were ineffective. Compared with the control group (56.7%), the observation group was significantly higher (86.7%), P <0.05. During the bronchofibersophagectomy, no serious complications occurred. Conclusion For patients with refractory pneumonia, bronchofluorescent bronchoalveolar lavage and injection therapy is significant, safe and reliable, which is worthy of clinical promotion.